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167168169170 However, conflicting data exist in terms of reducing the risk of nephropathy in patients with normoalbuminuria. However, both agents lead to a similar reduction in albuminuria in a 1-year study. 170 Therefore, the use of either ACE inhibitors or ARBs is recommended as a first-line therapy for T1DM and T2DM patients with microalbuminuria even if they are normotensive. 136 Patients excreting more than 1 g protein daily have been shown to stabilize their GFR for longer periods when their BP levels are reduced to less than 12575 mm Hg.

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